(附论)
夫妇人症痞者。由冷热不调。饮食不节。积在腹内。或肠胃之间。与脏相结搏。其牢强
推之
刺痛
得冷
方
恒山丸 治脐下坚癖。无所不治方。(千金云辽东都尉所方)
恒山 大黄 巴豆 天雄(二枚) 苦参 白薇 干姜 人参 细辛 根芽 龙胆 沙
参
玄参 丹参(各三分) 芍药 附子 牛膝 茯苓(各五分) 牡蒙(四分) 芦(六分
一
云二两三分) 上为末。蜜丸。宿勿食服五丸。日三。大羸瘦。月水不调。当二十五日服
下长虫或下种种病除。三十五日。腹中所苦悉愈。肌肤盛。五十日万病除断根者有子。
蓬莪术丸 治妇人症痞腹痛。
莪术(三钱) 当归(炒) 桂心 赤芍药 槟榔 枳壳 木香 昆布 琥珀(各半两)
桃
仁
穿山甲散 治妇人症痞。及血气凝滞。心腹妨痛。四肢羸瘦。时吐清水。不欲饮
食。
穿山甲(炙令黄色) 京三棱(微炮锉二两) 木香 槟榔 桂心(各一两) 白术(三
分)
鬼箭
(一两
半涂
生姜
半分
砂煎丸 治妇人积年血气症痞不消。四肢黄瘦。腹胁妨痛。经络不通。宜服。
砂(一两细研) 干漆 川大黄(各一两)
以上三味。并捣罗为末。以无灰酒一升。慢火熬成膏。入后药。
鳖甲(一两涂醋炙令黄去裙 ) 没药 五灵脂(各一两) 狗胆(一枚) 斑蝥(七
枚糯米拌炒
为末。入煎膏和
大黄丸 治妇人症痞。及恶血筑心。闷乱疼痛。四肢不和。身体羸瘦。不欲饮食。
川大黄(一两锉碎微炒) 鳖甲(一两涂醋炙令黄去裙 ) 干漆(二分捣碎炒令烟出)
荆
三棱
两) 槟
榔(三
煮面糊
和丸
防葵散 治妇人症痞。心腹胀硬如石。经络不利。四肢瘦弱。少思饮食。
防葵 郁李仁(汤浸去皮微炒) 桂心 鬼箭羽 桃仁(汤浸去皮尖双仁麸炒黄) 川
大黄
(锉
炒)
上为
桃仁散 治妇人症痞。心腹胀满。不能饮食。体瘦无力。
桃仁(一两汤浸去皮尖双仁麸炒微黄) 诃黎勒皮 白术 当归(各三分) 醋三棱(一
两
微炒
上
为散
鳖甲丸 治妇人症痞冷气。或时攻心腹痛。不能食。四肢瘦弱。
鳖甲(一两涂醋炙令黄去裙 ) 木香(半两) 川大黄(一两半锉碎微炒) 当归(三
分锉
碎微
煨以面熟
为度
丁香丸 治妇人症痞。结块不散。心腹疼痛。
雄雀粪(炒黄) 鳖甲(各一两) 砂 当归(炒) 芫花(醋炙干各半两) 巴豆
(一分去
皮心
香墨丸 治妇人症痞。
香墨 硫黄 砂 朱砂(各半两) 麝香(一分) 巴豆(半两去皮心纸裹压去油) 上
药
同研
水银丸子 治妇人症痞。结块不散。心腹疼痛。
水银(一两) 硫黄(半两) 砂(一两) 硝(一分) 白矾(一分) 芫花(一
两醋拌炒令
干捣
即止
芫花丸 治妇人症痞。心腹胀硬疼痛。
芫花 大戟 甘遂(各一两) 木香(半两别捣为末) 巴豆(一两去皮心纸裹压去油)
上
先以
每空
穿山甲散 治妇人症痞。及恶血气攻。心腹痛。面痿肌瘦。
穿山甲(灰炒) 鳖甲(醋炙) 赤芍药 大黄(炒) 干漆(炒令烟尽) 桂心(各
一两) 川
芎
无时热
酒调
(附论)
所谓妇女症痞病,是由于寒热失调、饮食不节制,导致积滞停留在腹内或肠胃之间,与脏腑相互搏结所致。其特点是肿块坚硬牢固,推之不移,伴有刺痛感,遇冷则症状加重。
恒山丸:治疗脐下坚硬癖块,无所不治。(据《千金方》记载,此方源自辽东都尉。)
药材:恒山、大黄、巴豆、天雄(二枚)、苦参、白薇、干姜、人参、细辛、根芽、龙胆、沙参、玄参、丹参(各三分)、芍药、附子、牛膝、茯苓(各五分)、牡蒙(四分)、芦(六分,一说为二两三分)。
制法与用法:将上述药物研为细末,用蜂蜜制成丸剂。服药前隔夜禁食,每次服用五丸,每日三次。若身体极度虚弱消瘦、月经不调者,需连续服用二十五日,可排出长虫或各种寄生虫,诸病消除;三十五日后,腹中痛苦全部痊愈,肌肤恢复丰盈;五十日后,万病断根,若有不孕者可受孕。
蓬莪术丸:治疗妇女症痞腹痛。
药材:莪术(三钱)、当归(炒)、桂心、赤芍药、槟榔、枳壳、木香、昆布、琥珀(各半两)。
穿山甲散:治疗妇女症痞,以及气血凝滞引起的心腹疼痛、四肢消瘦、时常呕吐清水、不欲饮食。
药材:穿山甲(炙至黄色)、京三棱(微炮后锉碎,二两)、木香、槟榔、桂心(各一两)、白术(三分)、鬼箭羽(一两半)、生姜(半分,涂于砂锅中煎煮)。
砂煎丸:治疗妇女多年血气症痞不消,四肢黄瘦,腹胁疼痛,经络不通,适宜服用。
药材:砂(一两,细研)、干漆、川大黄(各一两)。
制法与用法:以上三味药捣碎过筛为末,用无灰酒一升,慢火熬成膏状,加入以下药物:鳖甲(一两,涂醋炙至黄色,去裙边)、没药、五灵脂(各一两)、狗胆(一枚)、斑蝥(七枚,与糯米拌炒)。研为细末,加入煎好的膏中调和。
大黄丸:治疗妇女症痞,以及恶血攻心引起的烦闷扰乱、疼痛、四肢不和、身体消瘦、不欲饮食。
药材:川大黄(一两,锉碎微炒)、鳖甲(一两,涂醋炙至黄色,去裙边)、干漆(二分,捣碎炒至烟出)、荆三棱(三两)、槟榔(三钱)。
制法与用法:煮面糊和丸。
防葵散:治疗妇女症痞,心腹胀硬如石,经络不利,四肢瘦弱,少思饮食。
药材:防葵、郁李仁(汤浸去皮微炒)、桂心、鬼箭羽、桃仁(汤浸去皮尖双仁麸炒黄)、川大黄(锉炒)。
制法与用法:上药研为散剂。
桃仁散:治疗妇女症痞,心腹胀满,不能饮食,体瘦无力。
药材:桃仁(一两,汤浸去皮尖双仁麸炒微黄)、诃黎勒皮、白术、当归(各三分)、醋三棱(一两,微炒)。
制法与用法:上药研为散剂。
鳖甲丸:治疗妇女症痞冷气,有时攻冲心腹痛,不能进食,四肢瘦弱。
药材:鳖甲(一两,涂醋炙至黄色,去裙边)、木香(半两)、川大黄(一两半,锉碎微炒)、当归(三分,锉碎微煨,以面熟为度)。
丁香丸:治疗妇女症痞,结块不散,心腹疼痛。
药材:雄雀粪(炒黄)、鳖甲(各一两)、砂、当归(炒)、芫花(醋炙干,各半两)、巴豆(一分,去皮心)。
香墨丸:治疗妇女症痞。
药材:香墨、硫黄、砂、朱砂(各半两)、麝香(一分)、巴豆(半两,去皮心,纸裹压去油)。
制法与用法:上药同研。
水银丸子:治疗妇女症痞,结块不散,心腹疼痛。
药材:水银(一两)、硫黄(半两)、砂(一两)、硝(一分)、白矾(一分)、芫花(一两,醋拌炒令干捣)。
制法与用法:即止(此处原文可能有误,通常指制成丸剂或特定用法,依原文直译)。
芫花丸:治疗妇女症痞,心腹胀硬疼痛。
药材:芫花、大戟、甘遂(各一两)、木香(半两,别捣为末)、巴豆(一两,去皮心,纸裹压去油)。
制法与用法:先以...(原文残缺),每空...(原文残缺)。
穿山甲散:治疗妇女症痞,以及恶血气攻冲,心腹痛,面色萎黄肌肉消瘦。
药材:穿山甲(灰炒)、鳖甲(醋炙)、赤芍药、大黄(炒)、干漆(炒令烟尽)、桂心(各一两)、川芎。
用法:无时热酒调服。
(Attached Discussion)
The condition of "Zheng Pi" (abdominal masses) in women arises from the imbalance of cold and heat, irregular diet, leading to accumulation within the abdomen or between the intestines and stomach. This accumulation binds with the Zang-Fu organs. The mass is firm and hard, immovable upon pushing, accompanied by stabbing pain, and worsens upon exposure to cold.
Hengshan Wan (Hengshan Pill): Treats hard masses below the umbilicus; effective for all types. (According to *Qianjin Fang*, this formula originates from the Commander-in-Chief of Liaodong.)
Herbs: Hengshan (*Dichroa Radix*), Dahuang (*Rhei Radix et Rhizoma*), Badou (*Crotonis Fructus*), Tianxiong (*Aconiti Kusnezoffii Radix*) (2 pieces), Kushen (*Sophorae Flavescentis Radix*), Baiwei (*Cynanchi Atrati Radix*), Ganjiang (*Zingiberis Rhizoma*), Renshen (*Ginseng Radix*), Xixin (*Asari Radix et Rhizoma*), Genya (*unknown root bud*), Longdan (*Gentianae Radix*), Shashen (*Adenophorae Radix*), Xuanshen (*Scrophulariae Radix*), Danshen (*Salviae Miltiorrhizae Radix*) (each 3 fen), Shaoyao (*Paeoniae Radix*), Fuzi (*Aconiti Lateralis Radix Praeparata*), Niuxi (*Achyranthis Bidentatae Radix*), Fuling (*Poria*) (each 5 fen), Mumeng (*unknown herb*) (4 fen), Lu (*Phragmitis Rhizoma*) (6 fen, some say 2 liang 3 qian).
Preparation and Administration: Grind the above herbs into fine powder, mix with honey to form pills. Fast overnight before taking medicine. Take 5 pills each time, three times a day. For those who are extremely emaciated and have irregular menstruation, take continuously for 25 days to expel long worms or various parasites, eliminating diseases. After 35 days, abdominal suffering will completely heal, and skin and muscles will become robust. After 50 days, myriad diseases will be eradicated at the root; those unable to conceive may become pregnant.
Peng'Erzhu Wan (Curcuma Pill): Treats abdominal pain due to Zheng Pi in women.
Herbs: Erzhu (*Curcumae Longae Rhizoma*) (3 qian), Danggui (*Angelicae Sinensis Radix*) (stir-fried), Guixin (*Cinnamomi Ramulus*), Chishao Yao (*Paeoniae Radix Rubra*), Binglang (*Arecae Semen*), Zhike (*Aurantii Fructus Immaturus*), Muxiang (*Aucklandiae Radix*), Kunbu (*Laminariae Thallus*), Hupo (*Succinum*) (each half liang).
Chansanjia San (Pangolin Powder): Treats Zheng Pi in women, as well as stagnation of Qi and Blood causing chest and abdominal pain, emaciation of the four limbs, frequent vomiting of clear fluid, and loss of appetite.
Herbs: Chansanjia (*Manis Squama*) (stir-fried until yellow), Jingsanleng (*Sparganii Rhizoma*) (lightly roasted and crushed, 2 liang), Muxiang (*Aucklandiae Radix*), Binglang (*Arecae Semen*), Guixin (*Cinnamomi Ramulus*) (each 1 liang), Baizhu (*Atractylodis Macrocephalae Rhizoma*) (3 fen), Guijianyu (*Eucommiae Cortex* - note: text says 鬼箭 which usually refers to *Cornus Corni* twig or similar, here likely *Euonymi Ramus* or specific branch, translated as Guijianyu based on context of blood stasis), Shengjiang (*Zingiberis Rhizoma Recens*) (0.5 fen, applied to sand pot for decoction).
Sha Jian Wan (Sand Decoction Pill): Treats chronic blood-Qi Zheng Pi in women that does not resolve, yellow and emaciated limbs, abdominal and hypochondriac pain, and unblocked meridians. Suitable for use.
Herbs: Sha (*unknown mineral, possibly Borax or similar abrasive, context implies processing aid or specific ingredient, literal 'Sand') (1 liang, finely ground), Ganqi (*Glycyrrhizae Radix et Rhizoma* - wait, text says 干漆 Dry Lacquer), Chuan Dahuang (*Rhei Radix et Rhizoma*) (each 1 liang).
Preparation and Administration: Pound and sieve the above three ingredients into powder. Add one sheng of non-fermented wine, slowly boil into a paste. Add the following herbs: Biejia (*Testudinis Carapax et Plastrum*) (1 liang, coated with vinegar, roasted until yellow, remove skirt edge), Moyao (*Myrrha*), Wulingzhi (*Trogopteri Excrementum*) (each 1 liang), Goudan (*Canis Fel*) (one piece), Banmao (*Mylabris*). Stir-fry Banmao with glutinous rice. Grind into powder, mix with the prepared paste.
Dahuang Wan (Rhubarb Pill): Treats Zheng Pi in women, evil blood attacking the heart causing restlessness and pain, disharmony of the four limbs, body emaciation, and loss of appetite.
Herbs: Chuan Dahuang (*Rhei Radix et Rhizoma*) (1 liang, crushed and lightly stir-fried), Biejia (*Testudinis Carapax et Plastrum*) (1 liang, coated with vinegar, roasted until yellow, remove skirt edge), Ganqi (*Dry Lacquer*) (2 fen, pounded and stir-fried until smoke appears), Jing Sanleng (*Sparganii Rhizoma*) (3 liang), Binglang (*Arecae Semen*) (3 qian).
Preparation and Administration: Use wheat flour paste to form pills.
Fangkui San (Peucedani Powder): Treats Zheng Pi in women, hardness and distension of the chest and abdomen like stone, unblocked meridians, emaciated limbs, and poor appetite.
Herbs: Fangkui (*Peucedani Radix*), Yuliren (*Pruni Semen*), Guixin (*Cinnamomi Ramulus*), Guijianyu (*Euonymi Ramus*), Taoren (*Persicae Semen*) (soaked in water, skin and tips removed, double-kernel, bran-roasted until yellow), Chuan Dahuang (*Rhei Radix et Rhizoma*) (crushed and stir-fried).
Preparation and Administration: Grind the above herbs into powder.
Taoren San (Peach Kernel Powder): Treats Zheng Pi in women, chest and abdominal fullness, inability to eat, emaciation, and weakness.
Herbs: Taoren (*Persicae Semen*) (1 liang, soaked in water, skin and tips removed, double-kernel, bran-roasted until slightly yellow), Helilepi (*Terminaliae Chebulae Pericarpium*), Baizhu (*Atractylodis Macrocephalae Rhizoma*), Danggui (*Angelicae Sinensis Radix*) (each 3 fen), Cu Sanleng (*Vinegar-processed Sparganii Rhizoma*) (1 liang, lightly stir-fried).
Preparation and Administration: Grind the above herbs into powder.
Biejia Wan (Turtle Shell Pill): Treats cold qi Zheng Pi in women, sometimes attacking the heart and abdomen causing pain, inability to eat, and emaciated limbs.
Herbs: Biejia (*Testudinis Carapax et Plastrum*) (1 liang, coated with vinegar, roasted until yellow, remove skirt edge), Muxiang (*Aucklandiae Radix*) (half liang), Chuan Dahuang (*Rhei Radix et Rhizoma*) (1.5 liang, crushed and lightly stir-fried), Danggui (*Angelicae Sinensis Radix*) (3 fen, crushed, lightly roasted with flour until cooked).
Dingxiang Wan (Clove Pill): Treats Zheng Pi in women, formed masses that do not dissipate, chest and abdominal pain.
Herbs: Xiongquefen (*Male Sparrow Excrement*) (stir-fried until yellow), Biejia (*Testudinis Carapax et Plastrum*) (each 1 liang), Sha (*Sand/Mineral*), Danggui (*Angelicae Sinensis Radix*) (stir-fried), Yuanhua (*Genkwa Flos*) (vinegar-roasted until dry, each half liang), Badou (*Crotonis Fructus*) (1 fen, skin and heart removed).
Xiangmo Wan (Ink Pill): Treats Zheng Pi in women.
Herbs: Xiangmo (*Ink Stick*), Liuhuang (*Sulfur*), Sha (*Sand/Mineral*), Zhusha (*Cinnabar*) (each half liang), Shexiang (*Moschus*) (1 fen), Badou (*Crotonis Fructus*) (half liang, skin and heart removed, wrapped in paper and pressed to remove oil).
Preparation and Administration: Grind the above drugs together.
Shuiyin Wanzi (Mercury Pill): Treats Zheng Pi in women, formed masses that do not dissipate, chest and abdominal pain.
Herbs: Shuiyin (*Hydrargyrum*) (1 liang), Liuhuang (*Sulfur*) (half liang), Sha (*Sand/Mineral*) (1 liang), Xiao (*Natrii Sulfas*), Baifan (*Alumen*) (1 fen each), Yuanhua (*Genkwa Flos*) (1 liang, mixed with vinegar and stir-fried until dry, then pounded).
Preparation and Administration: [Text implies forming pills], stop when done.
Yuanhua Wan (Genkwa Pill): Treats Zheng Pi in women, hardness and pain in the chest and abdomen.
Herbs: Yuanhua (*Genkwa Flos*), Daji (*Euphorbiae Pekinensis Radix*), Gansui (*Kansui Radix*) (each 1 liang), Muxiang (*Aucklandiae Radix*) (half liang, separately pounded into powder), Badou (*Crotonis Fructus*) (1 liang, skin and heart removed, wrapped in paper and pressed to remove oil).
Preparation and Administration: [Text incomplete]... Each empty... [Text incomplete].
Chansanjia San (Pangolin Powder): Treats Zheng Pi in women, evil blood and Qi attacking, chest and abdominal pain, sallow complexion, and muscle emaciation.
Herbs: Chansanjia (*Manis Squama*) (ash-roasted), Biejia (*Testudinis Carapax et Plastrum*) (vinegar-roasted), Chishao Yao (*Paeoniae Radix Rubra*), Dahuang (*Rhei Radix et Rhizoma*) (stir-fried), Ganqi (*Dry Lacquer*) (stir-fried until smoke ceases), Guixin (*Cinnamomi Ramulus*) (each 1 liang), Chuanxiong (*Ligustici Chuanxiong Rhizoma*).
Administration: Mix with warm wine and take at any time.